IndividualActive
Amanda Clark, LPCC
NPI 1891656070 · Mental Health Counselor · Benton, KY
Provider details
- NPI number
- 1891656070
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LPCC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 303123 (KY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
124 Tara Ct
Benton, KY 42025-7513
Phone: (270) 493-1278
Fax: (270) 493-1278
Approximate (ZIP-level) locationGet directions
Mailing address
124 Tara Ct
Benton, KY 42025-7513
Registry dates
- Enumerated
- 2025-11-18
- Last updated
- 2025-11-18
- Certified
- 2025-11-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.